Canadians generally think of the United States as a place with severe and worsening health disparities – especially since 45.7 million Americans continue to lack health insurance. It may come as a shock to most Canadians that they can learn anything about health equity from their neighbours to the south. But Congress is currently debating health care reforms designed to measure and address health disparities. Moreover, over the past few years, several state and local governments have implemented progressive and innovative health equity strategies. Wellesley Institute Policy Analyst Matt Kanter describes in a new policy brief how some of these strategies could provide valuable lessons, options and insight for Canadian policymakers.